AND CHRONIC FATIGUE SYNDROME
pain is described as deep aching, radiating, gnawing, shooting or burning. The
overwhelming characteristic of fibromyalgia is long-standing pain at defined
tender points (myofascial trigger points).The initial patient profile of fibromyalgia
syndrome includes a history of widespread pain of at least three months' duration,
both above and below the waist and including both sides of the body.
percent of fibromyalgia sufferers also are afflicted with chronic fatigue syndrome.
In addition to pain and fatigue, common symptoms include malaise, headaches,
numbness and tingling, dizziness, sleep disturbance, swollen feeling in tissues,
stiffness, sensitivity to noise and stress, and cognitive impairment.
IUCCA UPPER CERVICAL CARE RELATES TO FIBROMYALGIA
AND CHRONIC FATIGUE
While the exact cause of fibromyalgia syndrome
is unknown, recent research has pinpointed traumatic
neck injury (whiplash, concussion, etc.) as a
risk factor for fibromyalgia and chronic fatigue
Following the cervical spine injury, pain and
fatigue symptoms can be triggered immediately
or can take months or years to develop. The purpose
of upper cervical chiropractic care is to reverse
the trauma-induced upper neck injury; thereby
reducing irritation to the nerves in the brain
stem and spinal cord that can trigger pain, neuromuscular
dysfunction, and fatigue.
many fibromyalgia sufferers recall specific traumas
such as head injuries, auto accidents or falls,
some do not. An upper cervical examination utilizing
Radiography and Digital
Infrared Imaging is
necessary in each individual's case to assess
whether an upper cervical injury is present and
whether benefit from IUCCA upper cervical care
can be achieved.
and Chronic Fatigue Case Studies
ARTICLES AND PUBLICATIONS
Cervical Management of Primary Fibromyalgia and
Chronic Fatigue Syndrome" by William
Amalu, DC. Today's Chiropractic. May 2000.
1. Buskila D, Neumann L. Musculoskeletal injury
as a trigger for fibromyalgia/posttaumatic fibromyalgia.
Curr Rheumatol Rep 2000 Apr; 2(2): 104-8.
2. Gardner GC. Fibromyalgia following trauma:
psychology or biology? Curr Rev Pain 2000; 4(4):
3. White KP, Ostbye T, Harth M. Perspectives on
posttraumatic fibromyalgia: a random survey of
Canadian general practitioners, orthopedists,
physiatrists, and rheumatologists. J Rheumatol
2000 Mar; 27(3): 790-6.
4. White KP, Carette S, Harth M. Trauma and fibromyalgia:
is there an association and what does it mean?
Semin Arthritis Rheum 2000 Feb; 29(4): 200-16.
5. Fishbain DA, Rosomoff HL. Posttraumatic fibromyalgia
at pain facilities versus rheumatologists' offices:
a commentary. Am J Phys Med Rehabil 1998 Nov-Dec;
77 (6): 562. 6. Aaron LA, Bradley LA, Alarcon
GS. Perceived physical and emotional trauma as
precipitating events in fibromyalgia. Associations
with health care seeking and disability status
but not pain severity. Arthritis Rheum 1997 Mar;
7. Buskila D, Neumann L, Vaisberg G. Increased
rates of fibromyalgia following cervical spine
injury. A controlled study of 161 cases of traumatic
injury. Arthritis Rheum 1997 Mar; 40(3): 446-52.
8. Jenzer G. Clinical aspects and neurologic expert
assessment in sequelae of whiplash injury to the
cervical spine. Nervenarzt 1995 Oct; 66(10): 730-5.
9. Waylonis GW, Perkins RH. Am J Phys Med Rehabil
1994 Nov-Dec; 73(6): 403-12.
10. Romano TJ. Clinical experiences with post-traumatic
fibromyalgia syndrome. W V Med J 1990 May; 86(5):
11. Saskin P, Moldofsky H, Lue FA. Sleep and posttraumatic
rheumatic pain modulation disorder (fibrositis
syndrome). Psychosom med 1986 May-Jun; 48(5):
12. Yunus MB. Primary fibromyalgia syndrome: current
concepts. Compr Ther 1984 Aug; 10(8): 21-8.
13. Weinberger LM. Traumatic fibromyositis: a
critical review of an enigmatic concept. West
J Med 1977 Aug; 127(2): 99-103.
14. Salit IE. Precipitating factors for the chronic
fatigue syndrome. J Psychiatr res 1997 Jan-Feb;
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